Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,621.81 / $5,623.41	Facility		$630.96	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $977.24	Professional		$354.81	$446.68	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $8,912.51	Facility		$2,089.30	$2,511.89	$8,912.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $891.25	Professional		$489.78	$676.08	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $870.96	Professional		$389.05	$575.44	$870.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $1,584.89	Professional		$457.09	$707.95	$1,584.89
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $512.86 / $616.60	Professional		$478.63	$512.86	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $537.03	Professional		$32.36	$33.11	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,023.29 / $3,235.94	Facility		$158.49	$1,023.29	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $851.14	Professional		$371.54	$489.78	$851.14